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Hospital Billing Denial and RAC Specialist, Patient Business Services BHS (Full Time)
Benefis Health System
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Education/Experience Requirements:

High school diploma or equivalent required

3 years prior Patient Business Services experience or equivalent of 3 years previous experience in a Healthcare field

Three to four years previous work experience with auditing or data collection in an acute care setting.

Knowledge of CPT/HCPCS along with ICD-9, ICD-10 coding terminology

Knowledge of Medicare and Medicaid billing requirements as well as all Commercial payers

Knowledge of Medicare/Medicaid NCCI, LCD, NCD and MUE edits and all updates

Knowledge of appeal process with all payers

Knowledge of Medical review policies and requirements

Bachelor's degree in Health Care Management or related field preferred

Pass with a 90% efficiency Proficiency biller/collector exam within 6 months of hire/promotion

Successful completion of on-line Medical Terminology Course within 6 months of employment

As a not-for-profit community health system, Benefis is driven to provide the highest level of care. We serve nearly 230,000 residents across a 15-county region that is bigger than Connecticut, Massachusetts, New Hampshire and Vermont combined.  Benefis is the largest non-governmental employer in the Great Falls area, with more than 3,000 employees.  Benefis has 530 licensed beds (that includes 146 beds in long-term care, 71 in assisted living and 20 beds at Peace Hospice of Montana) and partners with over 250 area physicians.  Our hospital has been recognized for its exceptional work in quality care by providing a wide range of programs and services to help you live the best life possible.  We’re here to help you “Live well.”  Benefis Health System came about when two Christian-based hospitals became one.  Our founders believed in providing good care to all in need, and trusted that this would be accomplished.  The Benefis name was derived using Latin root words: "Bene-" meaning good, and "fis-" for faith and trust.  It’s these same root words that make up such terms as ‘beneficial’ a...nd ‘confidence'.  Benefis has been a trusted provider of care for more than 125 years. And our name speaks to our commitment: good care one can put faith in.   Benefis is consistently ranked among America’s top hospitals by the nation’s leading healthcare ratings organizations for a range of services, including cancer care, joint replacement, stroke treatment, wound care and home health.   To learn more about our services, continue looking through our website at WWW.BENEFIS.ORG or call 406.455.5000.
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